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AKT2-090

Mr Weiz is a 48 year old gentleman who has requested an appointment to discuss the vision in his left eye. Since waking this morning, he has noticed mobile dots and flashing lights. Moreover, on arriving at the surgery, the vision in the same eye has become blurry. Mr Weiz is short sighted and he had cataract surgery in his left eye two years ago. He is otherwise fit and well but smokes twenty cigarettes a day and drinks fourteen units of alcohol a week. Examination reveals reduced visual acuity and a relative afferent pupillary defect on the left side. Fundoscopy reveals loss of the red reflex and pale and wrinkled retinal folds. Visual acuity is reduced to hand movement. Given the likely diagnosis you refer for same day ophthalmology review.

Based on the likely diagnosis, which one of the following are potential treatment options?

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